Senior Claims Administrator

🕒 5 dias atrás

Candidatar-se

Encontrar Vagas Remotas Similares

Receber Emails de Vagas Remotas

📊 Verifique sua pontuação de currículo para esta vaga

Melhore suas chances de conseguir uma entrevista verificando sua pontuação de currículo antes de se candidatar.

Enviar Currículo

EMC Insurance Companies

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 1911

Insurance

EMC Insurance Companies é uma seguradora mútua que oferece soluções especializadas de seguros empresariais. A empresa tem foco em seguro patrimonial empresarial, seguro de responsabilidade civil, workers’ compensation (compensação por acidentes de trabalho) e apólices para proprietários de empresas (Business Owners Policy – BOP). Com forte ênfase em atendimento personalizado, a EMC colabora de perto com agentes locais para oferecer coberturas abrangentes e sob medida. A EMC está comprometida em entender os desafios únicos enfrentados por seus segurados, disponibilizando recursos de gestão de riscos e controle de perdas para ajudar as empresas a protegerem seus ativos. Reconhecida por parcerias dedicadas e atendimento ao cliente excepcional, a EMC garante que as empresas estejam preparadas para o inesperado com suas soluções de seguro de alto nível.

Descrição

• Analyzes and investigates claims to ensure compliance and timely payment of benefits • Responds to agents and policyholders regarding pending claims and appeals • Processes complex beneficiary and ownership changes and approves eligibility of waivers for life and disability income policies • Collaborates with peers and management to ensure consistent interpretations of policies and claim payment methods • Obtains reports, medical records, eligibility, and/or additional information required to investigate and process claims • Prepares filings for all life reinsurance benefits and tracks status of payments • Ensures that claims are in compliance with state and federal mandates and reviews for red flags associated with potentially fraudulent claims • Trains new claims team members and assists current claims staff with processing issues • Documents claims procedures and maintains the claims administration manual as assigned by the Claims Manager

🎯 Requisitos

• Bachelor’s degree, preferably in insurance or business administration, or equivalent relevant experience • Three years of experience in life, annuity and/or health claims, or related experience • LOMA and/or International Claims Association (ICA) certifications preferred • Strong knowledge of life, annuity, WOP, contestable, and critical/chronic claims processing • Good knowledge of medical and legal terminology • Strong computer knowledge of Microsoft Suite, Outlook, Access, and insurance administration systems • Excellent verbal and written communication skills • Strong math and analytical skills • Good investigative and problem-solving abilities • Excellent organizational and customer service skills • Ability to work in a fast-paced team environment

🏖️ Benefícios

• Health insurance • 401(k) plan match • Pension plan • OneEMC bonus plan • Volunteer time off annually • Professional development opportunities • Wellness initiatives • Flexibility in dress code and work arrangements